Psychosocial risk factors underlie the link between attention deficit hyperactivity symptoms and overweight at school entry

Psychosocial risk factors underlie the link between attention deficit hyperactivity symptoms and overweight at school entry
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心理社会风险因素是注意力缺陷多动症状与入学时超重之间联系的基础

DOI:
10.1007/s00787-016-0870-1
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发表时间:
2017
影响因子:
6.4
通讯作者:
Becker
Becker
中科院分区:
医学2区
文献类型:
--
作者:
Pauli-Pott;Reinhardt;Wollenberg;Schroer;Heinzel-Gutenbrunner;Becker

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注意缺陷多动障碍(ADHD)的症状与体重增加之间的联系已经得到了很好的证实,但潜在的机制尚不清楚。由于体重增加和ADHD症状被发现与儿童时期的心理社会风险因素有关,我们分析了心理社会风险是否解释了这两种疾病之间的联系。样本包括360名儿童(年龄范围6-7岁,173名男孩),他们在入学前参加了强制性体检。在检查过程中测量了孩子们的身高和体重。ADHD症状由家长报告问卷确定。心理社会风险通过结构化访谈来确定。ADHD症状和体重之间的联系可以完全用累积的心理社会风险来解释,同时控制性别、儿童的抑郁/焦虑症状和对立违抗性障碍、母亲怀孕期间吸烟、父母体重指数以及父母潜在的ADHD诊断。在目前关于超重/肥胖和ADHD病因的模型中,心理社会逆境造成的慢性压力被认为是这些疾病的触发因素。儿童时期经历的心理社会风险可能会激活特定导致ADHD-超重组合表型的过程。
The link between symptoms of attention deficit hyperactivity disorder (ADHD) and increased body weight is well established, while the underlying mechanisms are not yet clear. Since increased body weight and ADHD symptoms have been found to be associated with psychosocial risk factors in childhood, we analyzed whether the psychosocial risks explain the association between the two conditions. The sample consisted of 360 children (age range 6–7 years, 173 boys) attending the obligatory medical health exam before school entry. The childrens’ height and weight were measured during the examination. ADHD symptoms were ascertained by parent-report questionnaires. Psychosocial risks were ascertained by a structured interview. The link between ADHD symptoms and body weight could be completely explained by cumulative psychosocial risks while controlling for gender, symptoms of depression/anxiety and oppositional defiant disorder of the child, maternal smoking during pregnancy, parental body mass index, and potential diagnosis of ADHD in the parents. In current models pertaining to the etiology of overweight/obesity and ADHD, chronic stress caused by psychosocial adversity is assumed to act as a trigger for these conditions. Psychosocial risks experienced during childhood may activate processes that specifically lead to the combined ADHD-overweight phenotype.
DOI: 10.1016/j.mehy.2007.04.036
发表时间: 2008-01-01
期刊: MEDICAL HYPOTHESES
影响因子: 4.7
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期刊:
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DOI: 10.1001/archpsyc.1995.03950180050007
发表时间: 1995
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